Olgun EG, Cetin SK, Siklar Z, Aycan Z, Ozsu E, Ceran A, Berberoglu M. Investigation of early puberty prevalence and time of addition thelarche to pubarche in girls with premature pubarche: two-year follow-up results.
Clin Pediatr Endocrinol 2022;
31:25-32. [PMID:
35002065 PMCID:
PMC8713059 DOI:
10.1297/cpe.2021-0042]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/30/2021] [Accepted: 08/25/2021] [Indexed: 11/28/2022] Open
Abstract
We aimed to determine the prevalence of early puberty in girls with premature pubarche
and analyze the time interval between their pubarche and succeeding thelarche. This study
included 60 female children with premature pubarche. We retrospectively collected
clinical, laboratory, and radiological findings from all participants. We investigated the
time interval between pubarche and thelarche in cases wherein premature pubarche was
followed by thelarche. The mean age at onset of pubarche was 6.93 ± 0.79 yr old. Among the
participants, 16.7% were preterm, 20% were small for gestational age (SGA), and 55% were
overweight or obese. The mean time interval between pubarche and thelarche was 11.20 ±
7.41 mo. The mean serum DHEA-S level was higher in the preterm group (p = 0.016), and
DHEA-S levels were generally higher in the SGA group (p = 0.004). This study documented
the presence of being overweight or obese and having more advanced growth than their
genetic potential in half of the patients who had premature pubarche. In addition to these
identified risk factors, obesity-independent DHEA-S levels were observed to be higher in
patients who had early puberty with the first six months of their follow-up considered to
be the most critical time in predicting early puberty.
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